Objective: To explore the effect of the telemonitoring blood pressure management system constructed by smartphone and smart blood pressure monitor on blood pressure management of working hypertension patients. Methods: A total of 246 hypertensive patients who visited the Second Affiliated Hospital of Baotou Medical College from October 2020 to May 2021 were included, they were divided into groups according to whether they were willing to purchase smart blood pressure monitors. A total of 154 patients were included in the monitoring management group, and 92 patients who did not purchase smart sphygmomanometers were included in the routine management group. The changes in blood pressure, drug adherence and blood pressure control rate between the two groups were compared. Results: After 3 months and 6 months of management, the systolic blood pressure in the routine management group was (139.8±9.2)mmHg and (132.6±6.4)mmHg, and the diastolic blood pressure was (89.5±9.1)mmHg and (83.7±4.5)mmHg, respectively, and the systolic blood pressure in the telemonitoring management group was (131.6±10.5)mmHg and (130.3±8.0)mmHg, respectively. The diastolic blood pressure was (86.3±8.6)mmHg and (83.3±5.8)mmHg, respectively, and the systolic and diastolic blood pressure decreased in both groups as the management time was prolonged and maintained a decreasing trend (both P＜0.05). After 6 months of management, the telemonitoring management group was better than the routine management group in reducing systolic blood pressure (P＜0.05), while there was no difference in the decrease of diastolic blood pressure between the two groups (P＞0.05). After 6 months of management, the drug adherence of both groups improved, but the adherence of the telemonitoring management group was better than that of the routine management group (both P＜0.05). After 6 months of management, the blood pressure control rate increased in both groups (routine management group: 29.9 % vs. 37.0 %, telemonitoring management group: 42.9 % vs. 50.6 %), and the blood pressure control rate was better in the telemonitoring management group than in the routine management group (both P＜0.05). Conclusion: The telemonitoring management based on smartphone APP and smart sphygmomanometer can effectively reduce the systolic blood pressure of working hypertensive patients, improve the drug adherence and improve the blood pressure control rate. This model can be considered for working hypertensive patients.
QIU Xuejuan
,
YUE Jianwei
,
YANG Xiaomin
,
WANG Zichao
. Analysis of the effect of telemonitoring blood pressure management on blood pressure management of on-the-job hypertensive patients[J]. Journal of Baotou Medical College, 2023
, 39(11)
: 42
-46
.
DOI: 10.16833/j.cnki.jbmc.2023.11.008
[1] Lewington S, Lacey B, Clarke R, et al. The burden of hypertension and associated risk for cardiovascular mortality in China[J]. JAMA Intern Med, 2016, 176(4): 524-532.
[2] Wang Z, Chen Z, Zhang L, et al. Status of hypertension in China: results from the China hypertension survey, 2012-2015 [J]. Circulation, 2018, 137(22): 2344-2356.
[3] 中国心血管健康与疾病报告2020概要[J]. 中国循环杂志, 2021, 36(6): 521-545.
[4] Mcmanusr J, Mant J, Franssen M, et al. Efficacy of self-monitored blood pressure, with or without telemonitoring, for titration of antihypertensive medication (TASMINH4): an unmasked randomised controlled trial[J]. Lancet, 2018, 391(10124): 949-959.
[5] 马建新, 张金萍, 崔莲, 等. 应用微信小程序对老年高血压患者进行健康管理的效率[J]. 中华老年多器官疾病杂志, 2020, 19(12): 895-899.
[6] Yue J, Yang X, Wang B, et al. Home blood pressure telemonitoring for improving blood pressure control in middle-aged and elderly patients with hypertension[J]. J Clin Hypertens (Greenwich), 2021, 23(9): 1744-1751.
[7] 岳建伟, 付海明, 白钢, 等. 智能手机APP对提高中老年高血压患者血压控制率的影响[J]. 包头医学院学报, 2020, 36(6): 23-25.
[8] 2019中国家庭血压监测指南[J]. 中华高血压杂志, 2019, 27(8): 708-711.
[9] Pholphirul P, Caplanova A, Mangmeechal A, et al. An analysis on country-specific characteristics influencing smartphone usage[C]. The First Iternational Coferrence on Multidisciplinary in Management,2015: 335-348.
[10] Ertemela AV, Ari E. A marketing approach to a psychological problem: problematic smartphone use on adolescents[J]. Int J Environ Res Public Health, 2020, 17(7): 2471.
[11] Zhai X, Ye M, Wang C, et al. Associations among physical activity and smartphone use with perceived stress and sleep quality of Chinese college students[J]. Mental Health and Physical Activity, 2020, 18: 100323.
[12] Hochsmann C, Walz SP, Schafer J, et al. Mobile Exergaming for Health-Effects of a serious game application for smartphones on physical activity and exercise adherence in type 2 diabetes mellitus-study protocol for a randomized controlled trial[J]. Trials, 2017, 18(1): 103.
[13] 王菲菲, 倪林, 胡玉丽, 等. 远程血糖管理对2型糖尿病患者血糖控制及达标率的影响[J]. 中国现代医生, 2021, 59(1): 5-8.
[14] Shimbo D, Artinian NT, Basile JN, et al. Self-Measured blood pressure monitoring at home: a joint policy statement from the American Heart Association and American Medical Association [J]. Circulation, 2020, 142(4): 42-63.
[15] 张晓蕾, 贾鸿雁, 吴浩, 等. 远程管理平台对高血压患者血压控制效果分析[J]. 社区医学杂志, 2020, 18(3): 211-215.
[16] 杨云净, 潘东, 常静, 等. 基于“互联网+”的高血压管理服务模式对高血压患者血压管理效果观察[J]. 中国心血管病研究, 2020, 18(5): 430-434.
[17] Mcmanus RJ, Little P, Stuart B, et al. Home and Online Management and evaluation of blood pressure (HOME BP)using a digital intervention in poorly controlled hypertension: randomised controlled trial[J]. BMJ, 2021, 372: m4858.
[18] Monahan M, Jowett S, Nickless A, et al. Cost-Effectiveness of telemonitoring and self-monitoring of blood pressure for antihypertensive titration in primary care (TASMINH4)[J]. Hypertension, 2019, 73(6): 1231-1239.
[19] Margolis KL, Asche SE, Bergdall AR, et al. Effect of home blood pressure telemonitoring and pharmacist management on blood pressure control: a cluster randomized clinical trial[J]. JAMA, 2013, 310(1): 46-56.
